Provider Demographics
NPI:1780877365
Name:MCAUSLAND-SEITZ, MARIE CHRISTINE (NP)
Entity type:Individual
Prefix:MS
First Name:MARIE CHRISTINE
Middle Name:
Last Name:MCAUSLAND-SEITZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:MARIE CHRISTINE
Other - Middle Name:
Other - Last Name:SEITZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:1441 EASTLAKE AVE # 3440
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90089-0112
Mailing Address - Country:US
Mailing Address - Phone:323-865-3966
Mailing Address - Fax:323-865-0061
Practice Address - Street 1:1441 EASTLAKE AVE # 3440
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90089-0112
Practice Address - Country:US
Practice Address - Phone:323-865-3966
Practice Address - Fax:323-865-0061
Is Sole Proprietor?:No
Enumeration Date:2007-08-27
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA544262163WX0200X
CA12858363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163WX0200XNursing Service ProvidersRegistered NurseOncology